EASTERN IOWA ORTHOTICS & PROSTHETICS LLC NPI 1780686030

NPI Information

EASTERN IOWA ORTHOTICS & PROSTHETICS, LLC is a prosthetic orthotic supplier in Davenport, IA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. EASTERN IOWA ORTHOTICS & PROSTHETICS, LLC NPI is 1780686030. The provider is registered as an organization entity type.

The provider's business location address is:

5000 TREMONT AVE
STE 201
DAVENPORT, IA
ZIP 52807-007
Phone: (563) 391-6789
Fax: (563) 391-4673

The provider's authorized official is Bernard Kenneth Horsfall .
The authorized official title is Director and has the following contact phone number (563) 391-6789.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 10/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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